Preserving the pediatric medical home

All children deserve a pediatric medical home.

In the medical home care model, each child has a personal medical provider, who is intimately familiar with the patient's history, medical conditions, medications, family dynamic and specialist providers. Optimally, this is a family centered partnership supported by private and public health insurers, local employers, hospitals and public officials. This concept is believed by most medical practitioners to be the crux of good medical care and outcomes, and as such it is the bedrock of excellent pediatric care in our country.

During our careers, which total a combined 50 years of caring for children in Delaware, we have never seen the pediatric medical home come under attack to the degree which we are now experiencing. Specifically, our patients' care is being sacrificed for the sake of convenience, and this phenomenon is being supported and encouraged by insurers, employers, Christiana Care Health System, and, most disappointingly, by Nemours/AI duPont Hospital for Children. This subtle but serious threat to our patients' health comes mainly in the forms of telemedicine and urgent care centers.

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